Individual
MRS. KAMESHA DEES MOULTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1970 ANDREWS AVE, OZARK, AL 36360-3726
(334) 774-1555
Mailing address
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305-4927
(334) 712-1170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-101408
AL
Other
Enumeration date
09/06/2016
Last updated
07/23/2021
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